Organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Active
Parent organization
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Other names
Physician Clinic of Charlevoix
Organization subpart
Yes
Provider details
NPI number
Legal business name
MUNSON HEALTHCARE CHARLEVOIX HOSPITAL
Authorized official
MICHAEL FRYE MD (PRESIDENT AMB & BUS DEVELOPMENT)
(704) 458-8010
Entity
Organization
Contact information
Practice address
14709 W. UPRIGHT STREET, CHARLEVOIX, MI 49720-1949
(231) 547-6519
(231) 547-5404
Mailing address
14709 W UPRIGHT ST, CHARLEVOIX, MI 49720-1949
(231) 547-6519
(231) 547-5404
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
MI
207R00000X
Internal Medicine Physician
—
MI
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A51041
BLUE SHIELD
MI
Enumeration date
10/27/2006
Last updated
04/17/2026
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